Spinal Epidural Collection following Lumbar Puncture in a Patient with Idiopathic Intracranial Hypertension

被引:0
作者
Krothapalli, Neeharika [1 ]
Hersh, David [2 ]
Yorns, William [3 ]
Acsadi, Gyula [3 ]
DiMario Jr, Francis J. J. [3 ]
机构
[1] Univ Connecticut, Dept Neurol, Farmington, CT 06030 USA
[2] Connecticut Childrens Med Ctr, Dept Pediat Neurosurg, Hartford, CT USA
[3] Connecticut Childrens Med Ctr, Dept Pediat Neurol, Hartford, CT USA
关键词
lumbar puncture; epidural collection; idiopathic intracranial hypertension; HEMATOMA;
D O I
10.1055/s-0043-57012
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Epidural cerebrospinal fluid (CSF) collections after lumbar puncture are a rare and underdiagnosed entity in the pediatric population. Physicians should maintain vigilance about warning signs of severe progressive back pain extending beyond the puncture site and new neurological symptoms after lumbar puncture. Extensive symptomatic epidural collections, which may be dorsal and compromise the thecal sac, can be secondary to CSF leakage. Early diagnosis with spinal magnetic resonance imaging and prompt treatment is vital in reducing morbidity and mortality. These collections typically resolve with conservative management and no serious sequelae. We report a rare case of spinal epidural collection following a lumbar puncture in a patient with idiopathic intracranial hypertension that was successfully treated with a blood patch and surgical decompression in the setting of significant neurological deterioration.
引用
收藏
页码:227 / 229
页数:3
相关论文
共 14 条
  • [1] Acute hemorrhagic complication of diagnostic lumbar puncture
    Adler, MD
    Comi, AE
    Walker, AR
    [J]. PEDIATRIC EMERGENCY CARE, 2001, 17 (03) : 184 - 188
  • [2] Cerebrospinal fluid dissecting into spinal epidural space after lumbar puncture causing cauda equina syndrome: review of literature and illustrative case
    Amini, Amin
    Liu, James K.
    Kan, Peter
    Brockmeyer, Douglas L.
    [J]. CHILDS NERVOUS SYSTEM, 2006, 22 (12) : 1639 - 1641
  • [3] Epidural Cerebrospinal Fluid Collection After Lumbar Puncture
    Aronson, Paul L.
    Zonfrillo, Mark R.
    [J]. PEDIATRIC EMERGENCY CARE, 2009, 25 (07) : 467 - 468
  • [4] Association of Lumbar Puncture With Spinal Hematoma in Patients With and Without Coagulopathy
    Bodilsen, Jacob
    Mariager, Theis
    Vestergaard, Hannah Holm
    Christiansen, Mikkel Hojberg
    Kunwald, Mikkel
    Luttichau, Hans Rudolf
    Kristensen, Bo Traberg
    Bjarkam, Carsten Reidies
    Nielsen, Henrik
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 324 (14): : 1419 - 1428
  • [5] SPINAL SUBDURAL HEMATOMAS COMPLICATING LUMBAR PUNCTURE - OCCURRENCE IN THROMBOCYTOPENIC PATIENTS
    EDELSON, RN
    CHERNIK, NL
    POSNER, JB
    [J]. ARCHIVES OF NEUROLOGY, 1974, 31 (02) : 134 - 137
  • [6] EPIDURAL HEMATOMA OF THE LUMBAR SPINE - 18 SURGICALLY CONFIRMED CASES
    GUNDRY, CR
    HEITHOFF, KB
    [J]. RADIOLOGY, 1993, 187 (02) : 427 - 431
  • [7] Gurkanlar D, 2007, NEUROCIRUGIA, V18, P52
  • [8] Cerebrospinal fluid leakage after lumbar puncture in neonates:: Incidence and sonographic appearance
    Kiechl-Kohlendorfer, U
    Unsinn, KM
    Schlenck, B
    Trawöger, R
    Gassner, I
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2003, 181 (01) : 231 - 234
  • [9] Symptomatic spinal epidural collections after lumbar puncture in children
    Koch, B. L.
    Moosbrugger, E. A.
    Egelhoff, J. C.
    [J]. AMERICAN JOURNAL OF NEURORADIOLOGY, 2007, 28 (09) : 1811 - 1816
  • [10] Atraumatic versus conventional lumbar puncture needles: a systematic review and meta-analysis
    Nath, Siddharth
    Koziarz, Alex
    Badhiwala, Jetan H.
    Alhazzani, Waleed
    Jaeschke, Roman
    Sharma, Sunjay
    Banfield, Laura
    Shoamanesh, Ashkan
    Singh, Sheila
    Nassiri, Farshad
    Oczkowski, Wieslaw
    Belley-Cote, Emilie
    Truant, Ray
    Reddy, Kesava
    Meade, Maureen O.
    Farrokhyar, Forough
    Bala, Malgorzata M.
    Alshamsi, Fayez
    Krag, Mette
    Etxeandia-Ikobaltzeta, Itziar
    Kunz, Regina
    Nishida, Osamu
    Matouk, Charles
    Selim, Magdy
    Rhodes, Andrew
    Hawryluk, Gregory
    Almenawer, Saleh A.
    [J]. LANCET, 2018, 391 (10126) : 1197 - 1204